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Case Study: Theft-Back Injury

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DOI: 12/15/2014. Patient is a year old male bookseller who sustained a back injury while lifting bag of books.
Based on the progress report dated 02/19/16, the patient presents with neck and middle back pain. He reports an aching neck pain he currently rates at a 6/10, right side worse than left. He experiences shooting pain that extends into the right shoulder/trapezius region. He also reports pain traveling from his neck to his upper back region. He reports headaches that travel from his posterior neck region to the posterior aspect of his head.
In regards to the mid-back, he reports a constant aching pain which he currently rates at a 7/10 on the pain scale. He states that the pain starts in his neck and travels to his mid and upper back regions. He says he occasional has difficulty breathing due to muscle spasms in his mid back region. …show more content…
He says he had last seen a chiropractor about 2 years ago. He says that following injury, his pain had become constant and severe. He says he completed a total of 3-4 sessions of chiropractic treatment for the back.
It was noted that the patient has not tried physical therapy, acupuncture, injections or

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